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Are you considering addiction treatment? Many wonder how long is PHP treatment for addiction. In a partial hospitalization program (PHP), you’ll usually receive about six hours of treatment per day, up to five days a week. You’ll return home after PHP treatment, or you may choose to live in a sober living environment while you receive care.
What Is PHP Treatment?
PHP treatment is a form of addiction treatment that focuses on the use of psychosocial support and therapy to help individuals recover from substance abuse. The acronym “PHP” stands for partial hospitalization program, which refers to a level of care between inpatient and outpatient treatment.
In PHP treatment, clients attend daily therapy sessions and participate in group activities at a treatment center during the day, but can return home or to a sober living facility at night. This allows individuals to receive intensive support while also maintaining some level of independence and stability in their daily lives.
Types of PHP Substance Abuse Treatment
PHP substance abuse treatment offers a structured program that bridges the gap between inpatient and outpatient services. This model provides individuals with comprehensive, intensive therapy without requiring them to stay overnight at a facility. PHPs are particularly effective for those transitioning from residential treatment or for individuals needing more support than traditional outpatient care can provide.
PHP drug treatment programs are designed to address various forms of substance addiction, including opioids, stimulants, and prescription medications. These programs typically include individual counseling, group therapy, medication management (if applicable), and holistic therapies aimed at treating the whole person rather than just the addiction itself.
Similarly, PHP alcohol treatment focuses on individuals struggling with alcohol dependence or abuse. The core components often mirror those of drug treatment programs but are tailored to address the specific challenges and dynamics associated with alcohol addiction. This may include strategies for managing cravings, understanding the impact of alcohol on physical health and relationships, and developing healthier coping mechanisms.
Both types of PHPs emphasize relapse prevention planning as a critical component of recovery. Participants engage in frequent sessions that help them identify triggers, improve emotional regulation skills, and build a supportive network of peers and professionals. By doing so, individuals are better equipped to navigate the complexities of recovery in their daily lives outside the program, fostering long-term sobriety and well-being.
How Long Is PHP Treatment?
Data from the Center of Medicare & Medicaid Services states that most people stay at a PHP for an average of three to four weeks. Everyone is different, and one study looked at challenges associated with a five-day PHP. Five days often wasn’t a sufficient amount of time to set a good foundation for recovery.
Most private PHP treatment programs allow you to stay for as long as needed before you transition to a lower level of care.
What To Expect In PHP Addiction Treatment
Partial hospitalization programs include various services, such as individual therapy, group therapy, educational classes, and other medical or mental health services as needed. Many treatment professionals with different specialties offer care.
The majority of PHP addiction treatment programs expect clients to attend sessions anywhere from three to five days per week, and sessions are usually about six hours in length.
The Step-Down Approach to PHP Treatment
In psychology, a step-up or step-down approach refers to starting out in one program and then transitioning to one that is more or less intense, depending on your needs. If you first checked into a residential program, finished that, and then moved on to a PHP, you took a step down.
After you have finished a PHP, you may transition down to an intensive outpatient program (IOP) or traditional outpatient treatment. This means you are moving to a less concentrated form of care that requires fewer hours of treatment per week.
To go from a PHP to a lower form of treatment, your program will consider a few factors:
- Where you are concerning the goals set at the beginning of the PHP
- How the program is affecting your daily life, such as your ability to maintain a daily routine
- Your family life
- Your overall progress throughout the PHP
The goal of a PHP is to prepare you for a lower level of care. As a result, PHPs are time-limited. You are not intended to stay in them for extended periods of time.
Your treatment providers will aim to step you down to a lower level of outpatient care when you’re ready. There isn’t a set timeline for everyone. Your treatment providers will assess your progress and help you determine when you are ready.
How Long Does Treatment Last?
The National Institute on Drug Abuse (NIDA) says that everyone is different when it comes to addiction recovery, so there aren’t finite rules about recovery timelines. However. the NIDA also says that treatment should last at least 90 days.
This doesn’t mean you’ll be in a PHP for 90 days. Your full course of care, including various transitions to lower levels of treatment, should last at least three months.
Recovery has four main aspects that must be addressed in treatment.
- Purpose: You’ll be encouraged to participate in your community and have a consistent income stream so you can live independently in recovery.
- Home: You’ll need a safe, stable place to live and sleep. If your home environment is not stable, consider a sober living home.
- Community: You’ll need a supportive network of friends, family, and others who support you. You’ll build this network out while you’re in addiction treatment.
- Health: Your overall health is crucial to your ability to stay sober. In a PHP, your treatment team will identify any co-occurring medical or mental health issues and teach you how to manage them. You’ll also learn good habits that support a healthy lifestyle.
You must also take the possibility of relapse into account, as it is common in recovery. Addiction specialists now understand that substance abuse is a chronic health condition, and relapse isn’t a sign of failure. It’s simply a sign that treatment needs to be changed or resumed.
Be ready to commit more time to treatment if relapse occurs or seems likely. Have a plan in place for how to handle it. Creating this relapse prevention plan will be a key part of your PHP.
Does Everyone Start in a PHP Treatment Center?
Not everyone starts in a PHP treatment center. It all depends on the specifics of your addiction, history of substance abuse, mental health status, medical conditions, and other personal factors.
Your addiction treatment should be effective as long as it follows these principles, outlined by NIDA:
- Your needs must be identified first, so treatment can match them.
- Your treatment center must recognize that addiction is treatable, but there is no cure at this time.
- Treatment must deal with other aspects of your life, not just substance abuse. The whole picture of your life — your overall health, relationships, career, stress level, cultural issues, and so forth — must be considered.
- Staying in treatment for the right amount of time is important to your success. The exact timeline will vary, but a minimum of 90 days of care is recommended for most people.
For some, PHP treatment is more intensive care than they need. Perhaps they have only struggled with substance abuse for a short period of time, and standard outpatient treatment will be effective. Others may need the 24-hour supervision of inpatient care due to a longstanding, severe addiction. Your assessment will determine what level of care is best for you.
Customized Treatment in PHP
There isn’t an exact answer for how long you should stay in a PHP. It comes down to your individual progress in recovery. Your treatment team can give you a rough estimate of a timeline at the outset of your treatment. This can give you a general idea of what to expect. Just know that this estimate may change somewhat throughout your care.
If you or a loved one is struggling with addiction, it’s natural to want to know how long the recovery process will take. However, there isn’t a one-size-fits-all answer to this question. Every individual’s journey to recovery is unique and can vary greatly depending on various factors.
At Footprints to Recovery, we provide customized PHP treatment plans to meet the individual needs of each client. We encourage you to reach out to us to learn more about our approach and how we can support you in your recovery journey.
- Principles of Drug Addiction Treatment: A Research-Based Guide (Third Edition)
- Drugs, Brains, and Behavior: The Science of Addiction Treatment and Recovery
- Breaking free from addiction
- Adult Step-up Step-down: A sub-acute short-term residential mental health service – University of Canberra Research Portal
- Impacts Associated with the Medicare Psychiatric PPS: A Study of Partial Hospitalization Programs
- Reasons for Patient Nonattendance During Acute Partial Hospitalization | Psychiatric Services
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